Exploring the potential of acceptance and commitment therapy model in self-care behaviour in persons with heart failure.
Mohammed Munther Al-Hammouri, Jehad A Rababah, Mohammed Aldalaykeh
PMID 32802377WHAT IT FOUND
Self-care behaviour in hospitalized heart failure patients was poor, with only six of 165 scoring above the adequacy cut-off.
While mindfulness and committed action correlated with better self-care, no single factor predicted it alone. Complex interactions involving these psychological traits were required to explain the variance.
Key findings
01Self-care maintenance was low in the sample, with only six participants scoring above the cut-off of 70 for adequate self-care behaviour.
02Mindfulness and committed action were positively correlated with self-care maintenance, while cognitive fusion was negatively correlated.
03Main effects alone did not significantly predict self-care maintenance; significant prediction required adding interaction terms between the psychological variables.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study used purposive sampling from two hospitals in Jordan, which limits the generalizability of the findings to other populations or healthcare systems. The design was cross-sectional, so it cannot establish causality between the psychological variables and self-care behaviour. The internal consistency (Cronbach's alpha) for the self-care maintenance scale (.58) and the cognitive fusion questionnaire (.57) was suboptimal in this sample, which may affect the reliability of the measurements. The model explained only a small percentage of the variance in self-care behaviour (11%), suggesting other important factors were not measured.
Declared interests
The authors declare no known conflicts of interest. The study was funded by the Jordan University of Science and Technology.
The easy way to misread this
Do not interpret the significant interaction effects as evidence that an ACT-based intervention improves self-care. This was a cross-sectional survey identifying statistical associations, not a trial testing an intervention's efficacy.